Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2024-04-05-30

Project Information

Project IdentifiersProject ID: 1000239
DEA: 030L2704
EFIS: 0324000076
DIST-CO-RTE-PM03---
Award DateNot set
Closeout DateNot set
Work DescriptionRutting Repair
Location DescriptionNot set
QA Service Level1 (Verified on 05/08/2024)

Sample Information

Sample Taken Date04/05/2024 Sample Unique Key30
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing04/08/2024
Sample typeQuality Control A brief description of the sample1 gallon can / 9800 RESIN
The quantity of what the sample constitutes2 tankers From where was the sample collectedSource
First name of sampler or witnessed byGILBERTO Last name of sampler or witnessed byGONZALEZ
Title of samplerQuality Control Manager Telephone number of sampler17076245467
Laboratory sample identification000052KBP Linked DIME Sample ID000052KBP
The fabricator/manufacturer/facility nameKwik Bond Polymers, Benicia Transportation Laboratory (TL) NumberSacramento Caltrans lab
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypePolyester Mfg. Lot Number(s)AZ4C00435
Batch numberAZ4C00435 Mix numberAZ4C00435

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments